| Wilks & Wellness, Llc | |
|
112 Spencer St Ste 3b Manchester CT 06040-4601 | |
| (860) 812-4320 | |
| (866) 355-1052 |
| Full Name | Wilks & Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 Spencer St Ste 3b, Manchester, Connecticut |
| Authorized Official Name and Position | Shannon Lee Wilks (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8608124320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilks & Wellness, Llc 112 Spencer St Ste 3b Manchester CT 06040-4601 Ph: (860) 812-4320 | Wilks & Wellness, Llc 112 Spencer St Ste 3b Manchester CT 06040-4601 Ph: (860) 812-4320 |
| NPI Number | 1457998452 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457998452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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